Pneumonia - more than just breathing difficulties

Pneumonia is one of the most common infectious diseases worldwide. It often begins with an ordinary cough and then slowly develops into an inflammation of the lower respiratory tract, which can be accompanied by fever, coughing, shortness of breath and chest pain. The symptoms of pneumonia are often non-specific, so that the disease is not always recognised immediately. Differentiating it from other infectious diseases or even bronchitis can be particularly difficult - our experts know all about it.

Älterer Mann mit Zigarette in der Hand am Husten
People over the age of 60 and smokers are particularly at risk of pneumonia.
(shutterstock)

Microbacterial, viral and non-infectious pneumonia

Pneumonia is usually caused by pathogens that infect the lung tissue and cause inflammation. The most common triggers are bacteria, but viruses can also cause pneumonia: influenza or Covid-19 viruses, for example, also cause pneumonia.

Non-infectious pneumonia, i.e. pneumonia not caused by pathogens, is less common. These occur, for example, after or in the case of pulmonary embolisms, cardiac insufficiency or swallowing disorders.

Pneumonia occurs mainly in the cold season. Between one and ten per cent of patients who contract it still die. It is important not to wait too long if your lungs rattle or hurt: the team at Bethesda Hospital will be happy to take care of your complaints.

Important to know

Find out everything you need to know about the clinical picture of pneumonia and find out about the various treatment options we offer.

How to recognise symptoms of pneumonia

Pneumonia often begins with a cough - this is usually dry at the beginning, later with sputum. Other symptoms include fever, which can sometimes be very high, chills, shortness of breath, chest pain, weakness, headaches and aching limbs. Older people in particular also experience atypical symptoms such as confusion and restlessness.

Are you unsure whether you have pneumonia? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

Recognising and clarifying pneumonia

Patients often ask themselves: How can I tell if I have pneumonia? Our experts clarify this step by step using various examinations if symptoms are present. The first step is always listening (medical auscultation) with a stethoscope to detect any rales in the lungs.

A blood test provides information about any signs of inflammation. In addition, so-called shadowing during X-rays of the lungs - sometimes a CT (computerised tomography) of the thorax (chest) is also necessary.

Blood or saliva cultures are taken to precisely identify the pathogens causing pneumonia. A urine test can also help to identify pneumococci or legionella-like bacteria - this is successful in a maximum of 50 % of cases. We will be happy to advise you in detail about your options.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

What can you do if you have pneumonia?

Pneumonia is usually treated with antibiotics, which are usually administered intravenously to the patient at the beginning. If the patient has a fever, it is also important to drink plenty of fluids - supportive infusions can prevent dehydration.

Oxygen administration is recommended for severe respiratory distress - inhalations, e.g. with saline solutions, are generally helpful. Physiotherapy with secretion mobilisation and respiratory gymnastics can also be very helpful.

The healing process of pneumonia can take anywhere from two weeks to three months, depending on the severity. It is very important to cure the infection properly so that it is not spread.

At Bethesda Hospital, we offer advice on various vaccinations that reduce the risk of pneumonia. These include the flu vaccination and the pneumococcal vaccination, both of which you can have at our hospital and which we recommend for people who are particularly at risk.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

Pneumonia = infectious disease no. 1

Pneumonia is the most common (registered) infectious disease worldwide. In Switzerland alone, between 70 and 80 thousand people contract pneumonia every year.

People over the age of 60 and smokers are particularly at risk. People with severe chronic illnesses such as renal insufficiency or weakness, heart failure, diabetes or pre-existing lung diseases are also at risk.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

FAQs on pneumonia

We have compiled the most frequently asked questions about pneumonia, answered by our medical experts.

Do you have any other questions that are not answered here? Please feel free to contact us - we will be happy to help you.

Pneumonia often begins with a cough - this is usually dry at the beginning, later with sputum. Other symptoms include fever, which can sometimes be very high, chills, shortness of breath, chest pain, weakness, headaches and aching limbs. Older people in particular also experience atypical symptoms such as confusion and restlessness.

Pneumonia is usually treated with antibiotics, which are usually administered intravenously to the patient at the beginning. If the patient has a fever, it is also important to drink plenty of fluids - supportive infusions can prevent dehydration.

Oxygen administration is recommended for severe respiratory distress - inhalations, e.g. with saline solutions, are generally helpful. Physiotherapy with secretion mobilisation and respiratory gymnastics can also be very helpful.

Dreaded complications include complete respiratory failure (respiratory failure) or septicaemia (multiple organ failure, also known as "blood poisoning"). In addition, the course of pneumonia can lead to a complicating accumulation of water in the pleural cavity (pleural effusion / pleural empyema) on the pleura, which requires additional treatment.

No, not always. Mild illnesses, especially in patients who do not belong to the risk groups mentioned above, can also be treated on an outpatient basis. Our doctors use various objective criteria and scales to decide whether outpatient treatment of pneumonia is possible with an acceptable risk.

the condition should improve 48 to 72 hours after the start of treatment. It is then usually possible to switch from intravenous to oral antibiotic therapy in hospital. The length of hospitalisation (if necessary) depends on the patient's recovery and previous illnesses - usually three to ten days.

The healing process of pneumonia can take anywhere from two weeks to three months, depending on the severity. It is very important to cure the infection properly so that it is not spread.

Especially older people (over 60), people with chronic pre-existing conditions or people with chronic bronchitis after many years of smoking.

(Bethesda Spital)

The specialists on the subject of pneumonia

The clinical picture of pneumonia falls under the specialism of our internal medicine department. Our experienced specialists will be happy to help you - let them advise you individually on the right internal medicine service for your needs.

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